关节带平面块扩散:一个解剖学研究
Hipolito Labandeyra1, Cristina Heredia-Carques2, José Cros Campoy3
1Human Anatomy and Embryology Unit, Universitat de Barcelona Facultat de Medicina i Ciències de la Salut, Barcelona, Catalunya, Spain.
Regional anesthesia and pain medicine
|September 12, 2023
概括
关节带平面块 (CPB) 有效地准关节骨骨折的表面神经和肌肉. 然而,它没有到达深层肌肉或后下半骨.
科学领域:
- 麻醉学 麻醉学
- 人体解剖学 解剖学 解剖学
- 疼痛管理 疼痛管理
背景情况:
- 关节带平面块 (CPB) 是关节骨骨折的新麻醉方法.
- 了解注射溶液的传播对于优化这种技术至关重要.
研究的目的:
- 为了研究注射溶液在关节带平面块 (CPB) 中的分布.
- 为了映射关节和相邻组织周围的扩散.
主要方法:
- 12个关节骨样本的尸体剖析.
- 用于注射甲蓝和对比剂.
- 通过剖析和CT扫描进行传播的评估.
主要成果:
- 甲蓝色染色上关节神经和表面肌肉 (三角形肌,形肌,关节肌,大胸部肌).
- 没有观察到深层肌肉 (关节骨下部,小胸部) 或关节骨 (CPF) 的染色.
- 在54%的样本中,前上半骨有染色;后下半骨有染色,4%.
结论:
- CPB有效地将溶液分发到前上骨周,表面肌肉和神经.
- CPB不能到达后下半骨或深肌平面,包括CPF.
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